Blossoming Minds Psychological Services, Llc
LBN: Blossoming Minds Psychological Services, Llc
Blossoming Minds Psychological Services, Llc is an health care organization with primary practice located at 14074 Trade Center Dr Ste 208 , Fishers IN 46038-4574. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty.
Blossoming Minds Psychological Services, Llc can be contacted via phone (317) 967-4099, or through Liedtke, Christine Marie via phone (317) 967-4099.
Contact Information
Primary practice address
14074 Trade Center Dr Ste 208
Fishers IN 46038-4574
Phone: (317) 967-4099
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | ||
Agencies / Community/Behavioral Health | 251S00000X | ||
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | ||
Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | ||
Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X |
Profile Details
NPI number | 1649037730 |
---|---|
LBN Legal business name | Blossoming Minds Psychological Services, Llc |
DBA Doing business as | |
Authorized official | Liedtke, Christine Marie PSYD., HSPP |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Mar 5th, 2024 |
Last updated | Mar 5th, 2024 - about 9 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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